Background: To determine the feasibility of a laparoscopic hand-assisted Miami Pouch following a laparoscopic anterior pelvic exenteration.
Case: We performed a laparoscopic hand-assisted Miami Pouch following a laparoscopic anterior pelvic exenteration. The procedure involved resection of the bladder, uterus, ovaries, and upper vagina en bloc and the formation of a "Miami Pouch" for continent urinary diversion. The procedure was successful. The operative time was 6 h. The postoperative course was uneventful.
Conclusion: Laparoscopic hand-assisted Miami Pouch following laparoscopic anterior pelvic exenteration is feasible.